Frozen Section Histoanatomy of the Peritarsal Eyelid.

IF 2.5 3区医学 Q2 DERMATOLOGY Dermatologic Surgery Pub Date : 2024-08-01 Epub Date: 2024-04-04 DOI:10.1097/DSS.0000000000004189

Junqian Zhang, Vivian Lee, Rosalie Elenitsas, Stacy L McMurray, Joseph F Sobanko, César A Briceño, Sonul Mehta, Christopher J Miller

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Abstract

Background: Mohs surgery of eyelid skin cancers requires detailed knowledge of anatomy for precise surgery and accurate evaluation of histology.

Objective: To review the histology of the peritarsal eyelid using frozen sections as encountered intraoperatively by Mohs surgeons.

Methods: The authors review the literature describing the anatomy and histology of the peritarsal eyelid from the lens of a Mohs surgeon. Histology from select Mohs cases is used to frame the discussion of the microanatomy of this region.

Results: The peritarsal eyelids contain a unique mixture of skin, muscle, tarsus, glandular tissue, and conjunctiva. The histologic appearance of many of these structures differs from skin found outside of this anatomic region. Tumors of the eyelid and periocular region may mimic normal histologic structures found within the peritarsal eyelid.

Conclusion: The peritarsal eyelids have unique anatomy and associated histologic structures. Knowledge of the detailed histoanatomy is required for confident execution of Mohs surgery in this anatomic region.

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眼睑周围的冷冻切片组织解剖。

背景：眼睑皮肤癌的莫氏手术需要详细的解剖学知识，以便进行精确的手术和准确的组织学评估：回顾莫氏外科医生在术中使用冷冻切片对眼睑周围组织学的研究：作者通过莫氏外科医生的镜头回顾了描述睑周解剖和组织学的文献。作者回顾了从莫氏外科医生的视角描述眼睑周围解剖和组织学的文献，并利用部分莫氏病例的组织学资料对该区域的微观解剖进行了讨论：跗骨周围眼睑包含皮肤、肌肉、跗骨、腺组织和结膜的独特混合物。其中许多结构的组织学外观与这一解剖区域以外的皮肤不同。眼睑和眼周区域的肿瘤可能会模仿跗骨周围眼睑内的正常组织结构：结论：眶周眼睑具有独特的解剖结构和相关组织学结构。结论：眶周眼睑具有独特的解剖结构和相关的组织学结构，要在这一解剖区域自信地实施莫氏手术，就必须掌握详细的组织解剖学知识。

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来源期刊

Dermatologic Surgery 医学-皮肤病学

CiteScore

3.10

自引率

16.70%

发文量

547

期刊介绍： Exclusively devoted to dermatologic surgery, the Dermatologic Surgery journal publishes the most clinically comprehensive and up-to-date information in its field. This unique monthly journal provides today’s most expansive and in-depth coverage of cosmetic and reconstructive skin surgery and skin cancer through peer-reviewed original articles, extensive illustrations, case reports, ongoing features, literature reviews and correspondence. The journal provides information on the latest scientific information for all types of dermatologic surgery including: -Ambulatory phlebectomy- Blepharoplasty- Body contouring- Chemical peels- Cryosurgery- Curettage and desiccation- Dermabrasion- Excision and closure- Flap Surgery- Grafting- Hair restoration surgery- Injectable neuromodulators- Laser surgery- Liposuction- Microdermabrasion- Microlipoinjection- Micropigmentation- Mohs micrographic surgery- Nail surgery- Phlebology- Sclerotherapy- Skin cancer surgery- Skin resurfacing- Soft-tissue fillers. Dermatologists, dermatologic surgeons, plastic surgeons, oculoplastic surgeons and facial plastic surgeons consider this a must-read publication for anyone in the field.